General Anaesthesia

The behaviour management technique in practice in the picture is.....

• Intravenous sedation

• Nitrous oxide sedation

• General Anaesthesia

• Hypnosis

The goal of a comprehensive dental treatment under GA ARE....

• To bypass the stress and pain of dental treatment

• To provide a safe and effective treatment

• Provide an easy option for parents

• To care for children with disabilities where communication & behaviour is limited

The indications for General Anaesthesia includes....

• uncooperative children on the first dental visit

• patient in need of extensive treatment

• establised allergy to local anaesthesia

• surgical drainage of an acute infected swelling

Factors to consider in the decision-making procedure for GA includes....

• Age of the Child

• Medical status

• Complexity of dental treatment

• Alternative behaviour techniques

Children with medical problems....

• Should be sent to the medical doctor to seek advice prior to GA

• should be sent for post GA to medical doctor for check-up

• should be sent for pre-anaesthetic assesment to anaes team

• should me categorise based on the ASA classification

Consent for GA should include....

• Explanation of the indications for GA

• Risk of GA

• Step by step procedures of GA

• Who will be performing the dental procedures

Treatment planning for GA ....

• ensure all treatment is carried out in a single visit

• takes into account the inability for patient to tolerate LA chairside

• requires radiographs for a comprehesive treatment plan

• does not involve restorative option, extraction only

Whila awaiting for General Anaesthesia....

• patient do not have to come to the dental clinic

• patient have to be seen regularly for preventive therapy

• patient have to come regularly for behaviour management

• patient only need to come if pain occurs

For a GA to be successful requires ...

• Good Teamwork

• good pain control

• effective communication

• shared responsibilities

Post-general anaesthesia....

• Patient needs to come to paeds specialist for review regularly

• Patient is dismissed from care

• Patient can be referred to outpatient department for continuation of care

• Enhance prevention strategies should be in place